GREAT LAKES DRAFT HORSE SALE CONSIGNMENT FORM

February 11 & 12, 2010

Consignor Name: ________________________________________________

Address: ______________________________________________

City: ______________________State:______________________ ZIP __________________

Phone: ________________________________________________

Horse Information Name:__________________________________________________________________

DOB:__________________Breed:_____________________________Sex:__________

Footnote ________________________________________________________________________

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Each horse consigned requires a fee of $75.00. If animal is registered, original registration paper and signed transfer must accompany consignment. If the horse is a bred mare PLEASE be certain all breeding information and stallion owner information is complete.